scholarly journals Psychological State of Surgical Patients in the Postoperative Period

2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Margarita Starchikova ◽  
Albina Bendrikova ◽  
Yuliya Kochetova

The article deals with a number of issues related to the peculiarities of the psychological state of surgical patients in the postoperative period. The relevance of the topic of psychological support for surgical patients for practical health care is noted. The article presents the main approaches to the issue of the relationship between surgical intervention and psychological state of patients. It provides the results of secondary analysis of the data obtained from a study conducted by a group of authors at «National Medical Research Center named after V.A. Almazov» of Ministry of Healthcare of Russia in 2020. It was revealed that the psychological state of surgical patients after surgery has a number of features, which include a high level of anxiety, fear, depression, and blurred consciousness. It was noted that it is necessary to study the peculiarities of the psychological state in the postoperative period of patients after surgery. To reduce stress, it is very important to have a preventive conversation with a psychologist in the hospital department to explain to patients the course of their illness and the specifics of rehabilitation after surgery.

Author(s):  
Mateja Lorber ◽  
Sonja Treven ◽  
Damijan Mumel

The achievement of organizational objectives depends on the leadership and leaders' behavior. The study was conducted to examine the relationship between the leaders' behavior, job satisfaction and organizational commitment of employees in nursing in Slovenian hospitals. The differences between individual variables were analyzed with the Mann-Whitney Test, Spearman correlation analysis and the regression analysis. With the leadership style, leaders' characteristics, leaders' emotional intelligence, and teamwork in the unit we can explain 51% of the total variability of nurses' job satisfaction and 84% of organizational commitment. Leaders' behavior has an important component of work and associated with job satisfaction and organizational commitment of employees in nursing. Health care organizations can be successful if the employees are satisfied with their work and have a high level of organizational commitment.


Author(s):  
Mateja Lorber ◽  
Sonja Treven ◽  
Damijan Mumel

The achievement of organizational objectives depends on the leadership and leaders' behavior. The study was conducted to examine the relationship between the leaders' behavior, job satisfaction and organizational commitment of employees in nursing in Slovenian hospitals. The differences between individual variables were analyzed with the Mann-Whitney Test, Spearman correlation analysis and the regression analysis. With the leadership style, leaders' characteristics, leaders' emotional intelligence, and teamwork in the unit we can explain 51% of the total variability of nurses' job satisfaction and 84% of organizational commitment. Leaders' behavior has an important component of work and associated with job satisfaction and organizational commitment of employees in nursing. Health care organizations can be successful if the employees are satisfied with their work and have a high level of organizational commitment.


1995 ◽  
Vol 8 (4) ◽  
pp. 29-35 ◽  
Author(s):  
Brian Louie ◽  
John Guy ◽  
Michael Quinn ◽  
Randy Reid

Length-of-stay (LOS) reduction is a strategy encouraged at all levels of health care to manage within a resource limited environment. However, few organizations have attempted to quantitatively understand the impact of reducing LOS. This study examines the relationship between reducing LOS and cost through a retrospective, medical records analysis of three surgical procedures (appendectomy, cholecystectomy and caesarean section) at an Ontario community hospital Department of Surgery. Hypotheses are presented and a methodology is described. The results are discussed with a focus on the factors that hospitals, adminstrators and physicians might consider in a LOS reduction program.


2020 ◽  
Vol 10 (1) ◽  
pp. 81-88
Author(s):  
Anna A. Shchukina ◽  
Olga G. Mokrushina ◽  
Alexandra S. Gurskaya ◽  
Elena Yu. Dyakonova ◽  
Dinara M. Akhmedova

Purpose. Presentation of clinical cases of rare combination of omphalocele with pylorostenosis in the postoperative period and additional liver lobe. Materials and methods. In National Medical Research Center for Childrens Health of health surgical ward of newborns and infants for the 2019 us operated 2 children who performed surgery involving intra-operative decision making about further surgical tactics. Results. the results of surgical treatment of newborns with omphalocele combined with hypertrophic pylorostenosis and extra liver lobe are presented. Conclusions. In patients with malformations of the anterior abdominal wall in the postoperative period, when regurgitation syndrome appears, it is necessary to make a differential diagnosis between the functional and organic causes of obstruction. When confirming the organic nature of the obstruction, surgical intervention is indicated. It is necessary to be able to timely and objectively assess the risks and expediency of the approach when choosing surgical tactics in each individual case.


2019 ◽  
Vol 8 (2) ◽  
pp. 125-128
Author(s):  
Tantri Puspita ◽  
Peranan Jerayingmongkol ◽  
Boosaba Sanguanprasit

Maternal health during pregnancy is important not only for the mothers but also for the infant. Anemia status is a condition that may cause a death against pregnant women. Consuming iron tablet lead pregnant women to prevent anemia. The purpose of this study was to identify the relationship between self-efficacy and consuming iron tablet during pregnancy. This study was a secondary analysis from previous study which included 263 pregnant women in the analysis. The pregnant women were in 5 Public Health Care area in Garut District. The Data were collected using self-administered questionnaire. The result revealed that more than 50 %  participant were confident and highly confident of taking iron tablets. Amount 22% of them were always consumed the iron tablet as they daily supplement. There was moderate correlation between self-efficacy and iron tablet consuming of pregnancy women in Garut District (r =407, α< 0,01). Health care providers are recommended to enhance pregnant women iron tablet consuming by improve their self-efficacy. It also can include their family as their motivator of improving self-efficacy to consume iron tablets.  


2017 ◽  
pp. 602-624
Author(s):  
Mateja Lorber ◽  
Sonja Treven ◽  
Damijan Mumel

The achievement of organizational objectives depends on the leadership and leaders' behavior. The study was conducted to examine the relationship between the leaders' behavior, job satisfaction and organizational commitment of employees in nursing in Slovenian hospitals. The differences between individual variables were analyzed with the Mann-Whitney Test, Spearman correlation analysis and the regression analysis. With the leadership style, leaders' characteristics, leaders' emotional intelligence, and teamwork in the unit we can explain 51% of the total variability of nurses' job satisfaction and 84% of organizational commitment. Leaders' behavior has an important component of work and associated with job satisfaction and organizational commitment of employees in nursing. Health care organizations can be successful if the employees are satisfied with their work and have a high level of organizational commitment.


2021 ◽  
pp. 1-7
Author(s):  
Ionkin Dmitry ◽  
Ionkin Dmitry ◽  
Stepanova Yulia Aleksandrovna ◽  
Alimurzaeva Maksalina Zakaryaevna ◽  
Vishnevsky Vladimir Aleksandrovich

From modern positions, removal of the spleen is undesirable due to the risk of post-splenectomy syndrome development, where first of all, the clinical manifestations of the syndrome of suppressive post-splenectomy infections are taken into account, which justifies either performing organ-preserving surgical interventions on the spleen, or heterotopic autotransplantation of spleen tissue. Spleen resection is accompanied by significant blood loss, both during the intervention and in the postoperative period. The various methods of prevention of bleeding (clips, coagulation instruments, local hemostatics, etc.) are not always effective. Currently, there have been reports of the possibility of using radiofrequency ablation (RFA) in interventions on the spleen. The literature data and own 10 observations of spleen resection with the use of RFA in patients with focal organ lesions are presented. All described in literature technologies use the Rita® device for RF destruction and the corresponding attachment, which consists of 4 needle active electrodes. The spleen parenchyma is "burned" blindly, and the organ parenchyma is divided in the middle, between the treated injections. A new technique for performing spleen resection using radiofrequency ablation has been proposed at A.V. Vishnevsky National Medical Research Center of Surgery. The essence of our proposed method for minimizing blood loss during spleen resection is as follows: RFA-exposure is carried out along the zone of organ ischaemia under the control of ultrasound. For RFA, we used a Radionics Cool-Tip® Ablation System and a set of water-cooled electrodes (MEDTRONIC, USA). The features of the surgical intervention are noted. No bleeding was noted either intraoperatively or in the postoperative period in any case. A comparative analysis of the results of various methods of organ-saving surgical treatment is presented.


2019 ◽  
Vol 1 (2) ◽  
pp. 96
Author(s):  
Ana Cecilia De Paz Lazaro ◽  
Jessica Luz Palomino Collantes

The objective of the research is to determine the relationship between academic motivation and the professional skills development in the specialty of Social Sciences and Tourism. The study is quantitative and the design is non-experimental correlational translational. The results indicate that there is a high level relationship (0.914) between the independent academic motivation variable and the professional competences development in the Specialty of Social Sciences and Tourism. In conclusion, motivation is directly related to the professional skills development in the specialty of Social Sciences and Tourism. The research results conclude that there is a high relationship between the variables.


Author(s):  
Janusz Kocjan ◽  
Andrzej Knapik

AbstractBackground: Comprehensive cardiac rehabilitation (CR) is a process designed to restore full physical, psychological and social activity and to reduce cardiovascular risk factors. Fear of movement may contribute to the occurrence and intensification of hypokinesia, and consequently affect the effectiveness of therapy. The aim of the study was to determine the level of barriers of physical activity in patients undergoing cardiac rehabilitation. The relationship between selected determinants (age and health selfassessment) and the kinesiophobia level were also examined.Material/Methods: 115 people aged 40-84 years were examined: 50 females (x = 63.46; SD = 11.19) and 65 males (x = 64.65; SD = 10.59) - patients undergoing cardiac rehabilitation at the Upper-Silesian Medical Centre in Katowice. In the present study, the Polish version of questionnaires: Kinesiophobia Causes Scale (KCS) and Short Form Health Survey (SF-36) were used. Questionnaires were supplemented by authors’ short survey.Results: The patients presented an elevated level of kinesiophobia, both in general as well as in individual components. In women, the kinesiophobia level was higher than in men. The psychological domain was a greater barrier of physical activity than the biological one. Strong, negative correlations of psychological and biological domains of kinesiophobia to physical functioning (SF-36) were noted in women. In the case of men, correlations were weaker, but also statistically significant.Conclusions: 1. Sex differentiates patients in their kinesiophobia level 2. Poor self-assessment of health is associated with a greater intensification of kinesiophobia 3. A high level of kinesiophobia may negatively affect cardiac rehabilitation process


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